Lifestyle, Medications, and Immunizations in pregnancy Flashcards
How much do you increase caloric intake during
1) 1st trimester
2) 2nd and 3rd trimester
3) Lactation
1) 100 cal/day
2) 300 cal/day
3) 450 cal/day
How much iron should be supplemented during pregnancy?
- 0.8mg/d in T1
- 4-5 in T2
- 6mg in T3
How much calcium and vitamin D should a woman get during pregnancy?
Calcium: 1200-1500mg
Vit D: 1000IU
How much coffee does the SOGC state is safe during pregnancy
1-2 cups per day
What dietary restrictions would you counsel your pateint about in pregnancy?
- Avoid raw meats and unpasturized eggs/dairy
- Avoid deli meats and pates which can be a source of listeria
- Limit consumption of top predator fish (due to mercury contamination)
As a general rule how much weight gain is expected during trimester 1? The remainder of pregnancy?
Trimester 1: 1-3.5 kg/wk
Remainder: 0.45kg/wk
At how many week gestation is a woman unable to go on an airplane?
- 36-38 weeks depending on the airline
- To avoid going into labour on the plane
abrupto placentae is associated with which illicit drug use?
Cocaine
Why shouldnt ACEI be used in pregnancy?
- Fetal renal defects
- IUGR
- Oligohydroamnios (decreases renal blood flow, less urine)
Why shouldn’t tetracycline be used in pregnancy?
- Stains infants teeth
- May affect long bone development
Which anticonvulsants are associated with ONTD?
- Carbamazapine
- Valproic acid
What can happen if phenytoin is used in pregnancy?
Fetal hyantoin syndrome
- IUGR
- Mental retardation
- Facial dysmorphologenesis
- Congenital anomalies
What cardiac anomaly is associated with lithium use?
Ebstein’s
- apical displacement of the tricuspid leaflets (leading to leaking)
When are sulfa drugs contraindicated in pregnancy and why?
1) First trimester
- due to theoretical risk from anti-folate properties
2) Trimester 3
- as these drugs increase the risk of kernicterus
Grey baby syndrome can be caused by which medication?
Chloramphenicol
- secondary to toxic accumulation
